Individual provider · Type 1 NPI
De Vida Gill, LCSW
Clinical Social Worker · Tustin, CA
Practice location
180 E Main St Ste 203
Tustin, CA 92780-4414
Mailing address
2913 El Camino Real # 129
Tustin, CA 92782-8909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | LCS 23243 (CA) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
3 other providers at this address
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About NPI 1710100508
De Vida Gill, LCSW's National Provider Identifier is 1710100508, issued on Apr 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tustin, CA. The record was last updated on Jan 31, 2020.